RESIDENCE AND NEIGHBORHOOD CHECKING - CONFIDENTIAL -

UNIT MAKE: MODEL: SRP:

PURPOSE OF UNIT: BRAND NEW PREVIOUS OWNER:

REPOSSESSED OLD PN NUMBER:

DOWN PAYMENT: ADVANCE: MONTHLY AMORTIZATION: TERMS:

FRESH LOAN (1ST Availment) REPEAT CLIENT: STATUS OF PREVIOUS/EXISTING MB LOAN:

This application is the (2nd, 3rd, etc.) _________ availment PN Number/s:

of the client

BORROWER’S INFORMATION
BORROWER’S NAME

LAST NAME FIRST NAME MIDDLE NAME

BIRTHDATE AGE: NATIONALITY: NICKNAME:

BIRTH PLACE TIN NO: SSS NO: GSIS NO.:

GENDER: MALE FEMALE OTHER GOV’T ID NO. ______________________________

PRESENT ADDRESS:

PERMANENT ADDRESS:

CONTACT DETAILS LANDLINE MOBILE FB/EMAIL:

SINGLE MARRIED SEPARATED LEGALLY SEPARATED
CIVIL STATUS
COMMON LAW WIDOWER UNDETERMINDED OTHERS________________

SPOUSE NAME

LAST NAME FIRST NAME MIDDLE NAME

BIRTHDATE: AGE: NATIONALITY: NICKNAME:

GENDER: MALE FEMALE GOV’T ID NO. ______________________________

CONTACT DETAILS LANDLINE MOBILE FB/EMAIL

NEGATIVE LIST CHECKING

POSITIVE NEGATIVE NFIS AND CMAP FINDINGS ON THE BORROWER AND/OR SPOUSE

REMARKS: _____________________________________________________________________________________

PREPARED BY:

NAME OF CREDIT INVESTIGATOR SIGNATURE DATE PREPARED

 RESIDENCE AND NEIGHBORHOOD CHECKING - CONFIDENTIAL -

BORROWER’S NAME
LAST NAME FIRST NAME MIDDLE NAME

NEIGHBORHOOD CHECKING
VICINITY ACCESSIBLE NOT ACCESSIBLE PEACEFUL NEGATIVE AREA MORE THAN 30KMS FROM BRANCH

GOOD KNOWN DRUNKARD ADULTEROUS HEAVILY INDEBTED

REPUTATION
BAD UNKNOWN GAMBLER NOTORIOUS FREQUENTED BY COLLECTORS

REMARKS

INFORMANT

CONTACT NUMBER

RESIDENCE STATUS LENGTH OF STAY NAME OF OWNER /LESSSOR / BANK RELATION W/ OWNER RENT AMOUNT / AMORT
OWNED
OWNED MORTGAGED
USED FREE
RENTED
REMARKS ON RESIDENCE AND HOUSE OWNERSHIP:

Bungalow Condominium Commercial Bldg Govt house Subdivision Commercial Govt Project

2-storey Apartment Tenement Low Cost / Nipa hut Residential Relocation site Slum Area

NAME: RELATION: CONTACT NO.:

CHARACTER REFERENCE

DEPENDENTS / SIBLINGS AGE SCHOOL / EMPLOYER CONTACT NO.

OTHER INFORMATION:

OWNED VEHICLE:

PREPARED BY:

NAME OF CREDIT INVESTIGATOR SIGNATURE DATE PREPARED

RESIDENCE AND NEIGHBORHOOD CHECKING - CONFIDENTIAL -